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1336191493
WILLIAM J KELDAHL
ATLANTA, GA
NPI
1336191493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 003252)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
-- WILLIAM J KELDAHL PA
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-8000
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Mailing Address
-- WILLIAM J KELDAHL PA
PO BOX 2968
KENNESAW, GA 30156-9117
Phone number: 770-779-0015
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